Organization
PHOENIX-RESTORATION FACILITIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. C ERIC LINCOLN (CHAIRMAN)
(901) 377-6640
Entity
Organization
Contact information
Practice address
5118 STAGE RD, MEMPHIS, TN 38134-3166
(901) 377-6640
(901) 377-2450
Mailing address
5118 STAGE RD, MEMPHIS, TN 38134-3166
(901) 377-6640
(901) 377-2450
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
08/18/2008
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